- 肿瘤药物治疗方案及综合评价
- 李秋 张晓实主编
- 271字
- 2022-04-21 16:38:47
HER-2阳性晚期胃癌的治疗
![](https://epubservercos.yuewen.com/B8A9D8/22919013101368106/epubprivate/OEBPS/Images/T211_228_2045_1988_2807_148586.jpg?sign=1739253946-SQlb1pv2oIz1eB0cKSYwoMuTvJcUhJnH-0-ab8e4c17dac2f8cbb782a9aa6d2be780)
方案评价
![](https://epubservercos.yuewen.com/B8A9D8/22919013101368106/epubprivate/OEBPS/Images/T212_285_341_2023_2836_148588.jpg?sign=1739253946-zACKfqt3yMzyrSlJzUQdAzoUNaWcVZ2E-0-13a0b3b54dff68e5685a59416b93cdf1)
续表
![](https://epubservercos.yuewen.com/B8A9D8/22919013101368106/epubprivate/OEBPS/Images/T213_238_343_1948_730_146943.jpg?sign=1739253946-azO71fPUZCDP8xLyIkU6rVoDM1JtEeIi-0-b98f6a555f0160a74586323bf8a53802)
点评
曲妥珠单抗联合XP方案化疗为HER-2阳性的晚期胃及胃食管结合部腺癌患者的一线首选治疗方案。该研究证据源于ToGA研究(NCT01041404),为一项国际多中心Ⅲ期随机对照试验,旨在比较曲妥珠单抗联合化疗在HER-2阳性胃癌、胃食管癌中的有效性,结果发现:曲妥珠单抗联合化疗延长了HER2阳性患者的OS、PFS,本研究首次在大样本胃癌临床研究中使晚期胃癌患者生存期超过13个月,并在个体化治疗层面开启了胃癌靶向治疗的新篇章。
(张 涛 于丹丹)
参考文献
[1] BANG YJ,VAN CUTSEM E,FEYEREISLOVA A,et al.Trastuzumab in combination with chemotherapy versus chemotherapy alone for treatment of HER2-positive advanced gastric or gastro-oesophageal junction cancer(TOGA):a phase 3,open-label,randomised controlled trial(vol 376,pg 687,2010).Lancet,2010,376:1302-1302.